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Request for Service Details

of a Deceased Ex-Serviceman/woman

Certificate of Kinship
Information from the personal record of a deceased Ex-serviceman/woman can be released only with the consent
of the official Next of Kin. This form aims to identify whose consent is required and the data you provide will be
used only in connection with your enquiry. This form is retained for 2 years should you have subsequent queries.

Part 1 - DETAILS OF DECEASED


SERVICEMAN/WOMAN

Surname

Full Forenames

Official Service Number

National Insurance Number

Service Career, e.g.


Date(s) joined RAF:
Date(s) left RAF:

Date of Birth

State clearly the information


you require, with dates
where known
e.g. a copy of RAF Record of
Service, or RAF Records whilst
serving at RAF Scampton.

(Please continue on a seperate sheet,


if necessary)

1
Part 2 - DETAILS OF KINSHIP
Information from the personal record of the deceased Ex-Serviceman/woman can be released only to the
official Next of Kin.
The official Next of Kin is the first Person in the following list who is still alive.
Read the list below, when you come to the first living relative, tick the box and write their full names
next to it.
List of Relatives Only tick the box of the first living relative and write their names next to it.

Widow / Widower
Son / Daughter
Grandchild
Father / Mother REMEMBER

Brother / Sister
ONLY
Nephew / Niece
TICK ONE
Grandparent BOX
Other (Specify)

If you are not the official Next of Kin you must send us written authority of the the person named
above for the information to be released to you.

Now please complete Part 3.

Part 3 - DECLARATION
To the best of my knowledge the information I have WARNING!
given is correct and as full as possible. It is an offence knowingly to withhold
relevant information or to give false
information.

Date Surname (Block capitals) Signature

Forenames (In Full)

Please return this form to the address given. You must


Full Address and Tel. No. enclose also:
a. The written authority of the Next of Kin, if not yourself.
b. Evidence of the ex-serviceman’s/woman’s death (e.g. a
photocopy of the Death Certificate) if he/she died after
discharge from the Service.
c. Evidence of the link with you, if appropriate (i.e.
marriage certificate, birth certificate, etc).
d. If you are NOT the surviving spouse of the deceased,
Payment [Cheque for £30 made payable to “HMG Sub
Accounts 3627”]

07/3515JL 2

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